Injury/Illness Telephonic Screening

The purpose of a screening is to firstly identify whether an injury and / or illness has occurred and capture any specific information on the episode and to determine how best to support the patient moving forward. The subjective screening can be completed by non-clinical resources taking around 10 minutes and entails approximately 10 short questions relating to pain, site, function and work status.

Uses:
  • Immediately following an injury/ accident or unplanned absence as a comprehensive claims, absence or IOD management service
  • For pre-authorisation of medical aid claims
  • For clarity on ambiguous details on referral i.e. no injury details stated etc
  • To determine appropriateness of proceeding to more detailed assessment
  • Support COID process to ensure forms are completed correctly to meet compliance for salary replacement and funding requirements 
  • Backlog projects to determine where claims or COID cases are in the system
Immediate Medical Assessment (IMA) - also known as Triage

An IMA is the next step up from screening. The information contained in these assessments is used to assist individuals involved in an unplanned absence,  illness, accident or IOD by identifying rehabilitation needs and providing early treatment intervention (if appropriate) to enable a maximal recovery. It also assists the claims or absence process by providing an independent assessment of any injuries. This is a more detailed assessment and subjective examination and should be administered by a trained/experienced clinician in roughly 20-30 minutes.

The assessment covers all areas of the screening however entails further detail regarding impact on function, impact on work, psychosocial influences, management methods and relevant medical history. The most important outcome is the identification of barriers to recovery, the development of a return to work plan and to determine whether and what treatment intervention is required. Reference is made to medical guidelines to ensure treatment to date and recommended treatment is clinically appropriate

The clinician is also able to provide immediate advice, support and psychological first aid through feed-back on types of injury, normal healing times and provide coping mechanisms/advice on the management of their symptoms and what to expect from treatment.

Uses:
  • Early intervention to maximise medical recovery
  • Useful with soft tissue injuries and non-complicated medical conditions and minor psychosocial disturbances i.e. anxiety, stress, fear avoidance
  • Absence, IOD or Claims validation to determine injury classification and rehab needs (if any)
  • Manage pre-authorisation of medical aid claims and ensure the right treatment at the right time
  • To assist fraud prevention
  • Formulates early rehabilitation and return to work recommendations
  • A more cost effective and focused alternative to specialist reports
RTW Screening Assessment - also known as Bio-Psychosocial Assessment

The RTW Screening Assessment is the most comprehensive and detailed subjective examination to be completed over the phone (or face to face) and again must be administered by specifically trained clinicians.

The assessment covers all areas with inclusion of contraindications, contributing factors to recovery (barriers/medical history), psychosocial impacts, return to work assistance requirements and the development of agreed rehabilitation goals to ensure the injured party is contributory to their recovery and return to work.

Part of developing these goals aligns what motivates the injured party and the case manager then 'exploits' these motivators to drive an outcome. Pending the severity of injury the assessment may take up to an hour. The product includes a full clinical history and symptoms, clinically verified healing times, return to work assistance/modifications/recommendations and a full rehabilitation plan detailing proposed costings and durations. We also utilise evidence-based medical guidelines regarding absence from work durations for specific injuries and the possible barriers if not aligned.

Uses:
  • As an assessment prior to case management
  • When injury is complicated and psychosocial barriers present
  • When previous treatment has not provided an outcome
  • When protracted period of time has eloped between date of injury i.e. > 4 - 6 weeks since injury
  • When injured party is off work/experiencing return to work barriers/problems
  • Prognosis of recovery is lengthy
  • Mitigating factors/barriers present and engagement issues. When regular contact/support needed
Functional Capacity Evaluations

This assessment is performed where the patient has reached their maximum functional abilities and still unable to return to work. We perform a range of other preventative assessments such as:
  • Fitness for Work Assessments
  • Pre offer of Employment screening
  • Ergonomic Workplace and Job Demand Analysis 



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